Chronic itching is a common problem that can come from many different sources like dermatitis, psoriasis, or as a side effect of chronic opioid use. Treatment often includes corticosteroids or antihistamines, but these can be unsatisfactory in some patients who will then need a more individualized treatment. Options that can be compounded would include a topical naltrexone cream, topical immunomodulators, urea creams, topical anesthetics, and many more. Therapy of pruritus.
Treatment of pruritus with topically applied opiate receptor antagonist.